EFTA01291973.pdf

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report Version Number 1.1
OMB No. 1506-0064
Filing Name 152-6426
9 Type of filing Minitel report q Correct ia mend prior report q FinCEN directed Backfiling
L
Document Control Number / BSA Identifier
Save Validate Print
Under penalties of perjury. I declare that I have examined this transmittal, including accompanying
documents, and to the best of my knowledge and belief it is correct and complete. In the case of documents
without recipients identifying numbers, I have complied with the requirements of the law in attempting to
secure such numbers from the receipts. I declare that this filing represents all Documents filed during this
reporting period except for those transactions reported on paper.
Sign with PIN
SDNY_GM_00049899
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CONFIDENTIAL — PURSUANT TO FED. R.QQN(F DB-SONY-0012723
EFTA_OOI 60507
EFTA01291973

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part I Person Involved in Transaction 1 of 2 00
ri Person conducting Person conducting Person on whose behalf
b Courier Service
.2 a " transaction on own behalf transaction for another c I—I transaction was conducted d O (Private)
3 O Multiple transactions
Check O If entity
'4 Individual's last name
O Unknown Indyke
or entity's legal name
'5 First name O Unknown Darren
6 Middle name K.
Suffix
7 Gender Male
8 Alternate Name
9 Occupation or type of business Attorney; owner of law arm
9a NAICS Code
'10 Address O Unknown
'11 City O Unknown
•
•12 State q Unknown [ '13 ZIP/Postal Code 0 Unknown
'14 Country O Unknown US
'15 TIN 0 Unknown 16 TIN type SSN4TIN
'17 Date of birth q Unknown
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
IX Drivers kcense/State ID O Passport O Alien Registration O Other
•
Number Country US Issuing State
21 Cash in amount for individual or entity listed in Item 4
00
Account number
22 Cash out amount for irxlmdual or entity listed in Item 4 $ 108.778
1 0 •
Account number)
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EFTA_00 I 60508
EFTA01291974

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part 1 Person Involved in Transaction 2 of 2 00
'2 a rn Person conducting O Person conducting — Person on whose behalf q
I—I transabootrcenwath innoas nlaf b ction for another c El transaction was conducted d C°tirier Service (dr".)
3 O Multiple transactions
Check O If entity
'4 Individuars last name
O Unknown Epstein
or entitys legal name
'5 First name O Unknown Jeffrey
6 Middle name
Suffix
7 Gender
8 Alternate Name
9 Occupation or type of business 1P resident of SouthemFInancial
9a NAICS Code
'10 Address O Unknown 6100 Red Hook Quarter, B3
—It City O Unknown [ St. Thomas
-----------
'12 State O Unknown VI '13 ZIP/Postal Code O Unknown [00802
'14 Count!), O Unknown US
'15 TIN q Unknown 18 TIN type SSN4TIN
'17 Date of birth q Unknown 0112011963
18 Contact phone number Ext.
19 E-mail address
'20 Form of identification used to verify identity OUnknown
ig Drivers kcense/State II) O Passport O Alien Registration O Other
Number C000000029913 Country US Issuing State VI
21 Cash in amount for individual or entity listed in Item 4
0 0
Account number
22 Cash out amount for Individual or entity listed in Item 4 108.778
1 0 0
Account number [
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SDNY_GM_00049901
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CONFIDENTIAL - PURSUANT TO FED. R.QQN(F DB-SONY-00 12725
EFTA_00I60509
EFTA01291975

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part II Amount and Type of Transaction(s). Check all boxes that apply.
'23 Date of transaction 01117/201S
24 O Aimored car (FI Contract) O ATM q Mail Deposit or Shipment O Night Deposit O Aggregated transactions
15 CASH IN: (in U.S. dollar equivalent) '27 CASH OUT: PO U.S. dollar ItquNalent)
a Deposit(s) .00 a Ildthdrawal(s) .00
b Payment(s) .00 b Advance(s) on credit (Including markers) .00
c Currency received for funds
translor(s) out .00 C Cestency pail from funds transfot(s) n .00
d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed 100.000,00
e Currency orchange(s) 00 e Currency exchange(%) 8,778.00
f Currency to prepaid access .00 I Currency from prepaid access .00
g Purchases of casinos chile, tokens Redemploo(s) or casino chips. tokens,
and other gaming instruments 00 TITO tickets and other gaming instruments 00
h Currency vrage(s) including h Payments) on race(s) roductem moo
money plays .00 and OTB or sports goon .00
Travel and complimentary expenses and
I Bills inserted into gaming devices .00 took gaming Incentives .00
Payment ler tournament. contest or other
z Other (speedy): promotions .00
.00 z Other (specify)
.00
Total Cash in .00 Total Cash out 108,77100
0 0
26 Foreign Cash in Foreign Country
0 0
28 Foreign Cash out 7,000 Foreign Country BE
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EFTA_00 I 605 I 0
EFTA01291976

WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Part III Financial Institution Where Transaction(s) Takes Place 1 of 1 0 0
'37 Type of financial institution I Depository institution
Other (specify)
'29 Primary federal regulator I Federal Reserve Board (FRB)
38 If 37a - Casino/Card Club is checked, indicate type (chedc only one)
q State licensed casino q Tribal authorized casino El Card club q Other
'30 Legal name of financial institubon I Deutsche Bank Trust Company Americas
31 Alternate name, e.g. trade name, DBA
'32 EIN
'33 Address 346 Park Ave
'34 City New York
'35 State NY
'36 ZIP Code 110154
39 Financial institution ID type
ID number
'40 Contact office DB PB AML
'41 Phone number
'42 Date Filed (Dale filed will be aut-opopulated when Ihe form is signed.)
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EFTA01291977